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Rheumatoid Arthritis - 6 Ways To Manage It Effectively!

Gynaecologist, Visakhapatnam
Rheumatoid Arthritis - 6 Ways To Manage It Effectively!
Rheumatoid Arthritis is a degenerative disease that progresses over time. It generally affects the fingers, feet, wrists, and ankles. It causes immobility due to inflammation and stiffness as well as severe pain. This is an autoimmune disease where the body mistakenly ends up attacking the joints instead of attacking bacteria and other substances as it normally should. Severe cartilage damage can be caused if this condition is not treated on time, which can make the spacing between the bones even smaller than usual.

Let us find out how one can tackle this condition.

Rest: While there is still no cure for this condition, one can take a number of measures in order to tackle it. One of the foremost ways of managing this condition is with the help of rest and relaxation. It is important to get plenty of sleep so that you can keep the condition from getting worse. There are a number of relaxation exercises that will help you in sleeping better, especially if you have been having trouble sleeping due to the aches and pains.
Exercise: Depending on the doctor s recommendations, you will need to exercise on a regular basis so as to keep the motion in your joints intact for as long as possible. Muscle and joint strengthening exercises include swimming, walking, and even gentle stretching that can help in reducing muscle fatigue. This can make your muscles stronger and increase the range of motions as well.
Ointments and Lotions: One can turn to gels and lotions which can be topically applied. These can be prescribed by the doctor as well so that the pain is soothed and temporary relief from pain and stiffness may be experienced. These are also available in the form of sprays. These ointments, gels or lotions usually contain camphor, menthol, capsaicin and salicylates.
Fish Oil Supplements: Pain and stiffness can be significantly reduced with the help of fish oil, as per many medical studies. Before adding fish oil supplements to your food, you will need to talk to your orthopedic specialist to find out if it may interfere with any medication that you may be taking for the condition or any other related disorder.
Plant Oils: Plant oils are also known to contain fatty acids known as gamma linolenic acid, which can give much relief when it comes to pain and stiffness, especially in the morning. One must remember, though, that excessive use of this oil can lead to liver damage. So it is imperative to speak with your doctor or therapist before taking any plant oils.
Medications: Aspirin and other non-steroidal anti-inflammatory drugs can help in containing the pain and inflammation for severe cases.
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Arthritis - Diet You Should Be Following!

Post Graduate In Clinical Nutrition
Dietitian/Nutritionist, Hyderabad
Arthritis - Diet You Should Be Following!
The inflammation of joint which causes a loss of mobility, pain and stiffness are known as arthritis. Arthritis is a very common musculoskeletal condition that affects both men and women. Osteoarthritis is the most common form of arthritis and damages the patient s cartilage and bones.

Although this disease cannot be treated and cured, a few changes to your diet can help slow down the wear and tear process and can help alleviate the pain associated with it.

Here are a few food items you should begin including in your diet:

Green tea: Green tea is rich in a natural antioxidant known as epigallocatechin 3 gallate. This is not found in most other teas. This antioxidant helps fight toxins in the body and reduces the production of inflammatory chemicals associated with arthritis. It is also said to have the ability to prevent the cartilage damage. Green tea also aids in weight loss which in turn reduces the pressure on joints and lowers pain.
Omega 3 fats: Not all fats are unhealthy. Omega 3 fats help lower the production of enzymes responsible for cartilage erosion. It also helps strengthen bones and joints and reduces joint swelling and stiffness. Omega 3 fats are also associated with increased energy levels and can help fight fatigue. Some of the foods rich in this fat are sardines, salmon, flaxseeds and walnuts.
Anthocyanins: This is a potent antioxidant responsible for the reddish colour of fruits and vegetables such as cherries, strawberries, black grapes, plums and eggplant. By lowering the production of inflammatory chemicals, this antioxidant helps reduce inflammation in the joints. It is also rich in vitamin Cand strengthens the connective tissue in the body.
Turmeric and ginger: These spices are rich in certain phytonutrients that have an anti-inflammatory effect. They can also help relieve pain associated with arthritis. While turmeric is usually used in its dry and powdered form, ginger is best used when fresh. To benefit from it, grate a little fresh ginger into your tea or add it to your salad dressings.
Vitamin C: Vitamin C not only helps fight arthritis, but it can also prevent osteoarthritis. This is because vitamin C is largely responsible for collagen production which is a major component of cartilage. However, high doses may aggravate the symptoms of this disease and hence it is best to choose a dietary source of vitamin C rather than supplements. Citrus fruits, bell peppers, broccoli, pineapple etc are a few fruits and vegetables that are rich in vitamin C.

Please tell how to take to eat Bryonia alba for my osteoarthritis. I am 40 years old and my doc told me to replace my left knee.

Homeopath, Chennai
Only bryonia will give improvement for less period of time. You need to take few set of medicines in homeopathy for your complete relief, if interested kindly consult me online for the prescription.
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Arthritis - How Diet Can Help You To Avoid It?

MBBS, M.S. Ortho, DNB (Orthopedics)
Orthopedist, Patna
Arthritis - How Diet Can Help You To Avoid It?
Arthritis is a very painful disease. It restricts you from doing a lot of the activities you would love to engage in. However, there are steps you could take to reduce the chances of it happening to you.

Here are some of them:

1. Take Omega-3 fatty acids
Research proves that the regular consumption of Omega-3 fatty acids, present in fish, result in decreased risks of rheumatoid arthritis. Omega-3 fatty acids are also found in foods such as olive oil and walnuts.

2. Take Vitamins and olive oil
Vitamins are crucial, especially A, C and D. Vitamin A can be found in carrots. Vitamin D can yet again be found in fish while Vitamin C can be found in strawberries, mangoes, pineapples and oranges. Olive oil is also useful because it contains polyphenols which reduce the chances of developing arthritis.

3. Eat ginger and broccoli
Ginger and broccoli are two of the most therapeutic foods for various reasons and the chances of getting arthritis are also proven to reduce due to these foods.

4. Avoid injury
Although this is very hard to do sometimes, avoiding injuries do reduce your chances of getting arthritis.

5. Control your weight
This is very important, especially for your knees. It has been proven by researchers at Johns Hopkins University that if you are 10 kg overweight, then 30 to 60 extra kilograms of weight fall on your knees.

6. Exercise
Strengthening your muscles around your joint decrease the pressure on the joint. If there is less pressure on the joint, then the chances of arthritis are reduced. The best way to decrease pressure on the joint and strengthen your muscles is to exercise.
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Cervical Osteoarthritis - How Can Physiotherapy Help You Treat It?

Physiotherapist, Kolkata
Cervical Osteoarthritis - How Can Physiotherapy Help You Treat It?
Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids.

This leads to stiffness in the spine. It occurs usually in middle-aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis.

Symptoms of Cervical Osteoarthritis:

Pain and stiffness in the neck.
Headache which usually emerges from the neck.
Severe pain in the arms and shoulder.
Not being able to turn the head or neck fully while driving.
Muscle spasm and abnormal reflexes.
Grinding sensation or noise caused while bending the neck.
Cervical Osteoarthritis can be cured by physiotherapy in the following ways:

Heat modalities - In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy.
Neck exercise - Regular stretching and bending exercises for the neck can reduce pain and stiffness
Manipulating therapy - This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly.
Hydrotherapy - This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness.
Cervical traction - This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage).
Electrotherapy - Procedures like UST, IFT, etc give a lot of relief from pain and stiffness.
Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.

My mother is suggested for hto and oestochondro gathering for operation but in mri report injury are mentioned which name is. Acl grade 1, medial meniscus grade 2, chondromalacia patella modified grade 3 and 4 outerbridge .and osteoarthritis changes. So my qwes is if she has these injury then why doctor suggest her hto and oestochondro gathering. Pac.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My mother is suggested for hto and oestochondro gathering for operation but in mri report injury are mentioned which ...
Knee ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! one time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Exercises will give you permanent cure than the surgery. Physiotherapy management: you can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple knee exerciesspecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knees.
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Can we stop the progression of rheumatoid arthritis with medicines? Will the medicines also stop the further joint deformity? Please suggest me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Can we stop the progression of rheumatoid arthritis with medicines? Will the medicines also stop the further joint de...
It is called as rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your esr levels to check whether you have inflammation the sound what you hear is called as crepitus /ˈkrɛpɪtəs/ (also termed crepitation) is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. Popping knees and crackling knuckles. Occasionally hearing pops, snaps, and crackles when you bend your knees doesn’t necessarily mean you have arthritis. The kneecap (patella) is the small, convex bone that sits at the front of the knee, shielding the joint.
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Is excess consumption of toor dal (yellow colour) leads to excess pitta and uric acid levels in body?

MD - Ayurveda, BAMS, DYA, PGDEMS
Ayurveda, Nashik
Is excess consumption of toor dal (yellow colour) leads to excess pitta and uric acid levels in body?
Hi Lybrate user, according to Ayurveda toor daal is pitta kar means it increases pitta( acidity) & person who is having hyperacidity shoul avoid eating toor dal. Also proteins (dried beans & lentils) increases uric acid but these are cleared out of body by liver & kidney.
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Rheumatoid Arthritis - Why Should It Be Treated On Time?

MBBS, MD - Internal Medicine, MRCEM(UK), MEM, Diploma in Rheumatology, PGCC - Rheumatology, MACEP, FCCS
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis - Why Should It Be Treated On Time?
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis).


Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.


Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).


Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.


RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long ( 5-10 years or lifelong).


RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease).

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections.


All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE!
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